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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
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AMSSM Position Statement Update: Blood-Borne Pathogens in the Context of Sports Participation
Christopher McGrew1, Daisy-Scarlett MacCallum2, Dustymarie Narducci2
1University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
Summary
Blood-borne pathogen (BBP) transmission during sports is rare, with no documented cases of HIV or hepatitis transmission. Universal BBP testing is not required for sports participation; follow general screening guidelines.
Area of Science:
- Sports Medicine
- Infectious Diseases
- Public Health
Background:
- Significant advances in understanding blood-borne pathogens (BBPs) necessitate an update to clinical practice guidelines.
- Confirmed transmission of BBPs during sports participation is exceedingly rare.
- Current evidence does not support universal BBP testing for athletes.
Purpose of the Study:
- To provide health care providers with an updated guide on managing athletes and exercise participants with blood-borne pathogens.
- To incorporate recent clinical and scientific research findings on BBPs in sports.
- To clarify recommendations regarding BBP screening and precautions in athletic populations.
Main Methods:
- Review and synthesis of current scientific literature and clinical evidence regarding BBPs and sports.
- Development of a position statement based on the existing evidence base.
- Identification of research gaps for future investigation.
Main Results:
- No well-documented reports of HIV, hepatitis C virus, or hepatitis D virus transmission during sport.
- No evidence supports universal BBP testing as a requirement for sports participation.
- Standard (universal) precautions are essential for healthcare providers caring for athletes.
Conclusions:
- Athletes and non-athletes should adhere to general public health screening recommendations for BBPs based on individual risk factors.
- Exercise and athletic participation are beneficial for individuals living with BBPs, with intensity adjustments for acute symptomatic infections.
- Education is crucial for BBP transmission prevention in sports settings.
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